How Can I Feminize My Skull?

Q: Dr. Eppley, Regarding the head: – I would like to have a facial and cranial reduction and feminization procedure. This means shortening, narrowing, and filing down the bony prominences of the skull to make it more rounded and smaller, that is, more feminine. Among the things I want most is to reduce the lower sides of my head, which make it appear longer and more masculine because of the mastoid processes. Being larger and longer, these give the appearance of a thick neck and a long head. Clarifying that I desire all the procedures of a complete facial feminization, I want to use a more bony and deeper approach to the bone structure.

A: To do a proper assessment of your skull reduction goals, to determine what is and what is not possible, this will require a 3-D CT craniofacial scan to have a full understanding of the bony and anatomy as well as what limitations may exist for the degree of reductions desire. For example, there are going to be limits as to how much the mastoid process can be reduced due to the underlying air cells.

Dr. Barry Eppley

World-Renowned Plastic Surgeon